compare medihelp’s medical aid products

We all have different healthcare needs. That is why Medihelp offers a range of quality products to choose from.

Please choose the year:

Dimension Prime 1 - 2017

(Non-network and network at 22% less)

A hospital plan with additional benefits

Hospitalisation

100% of the Medihelp tariff

Non-network – any private hospital

Network – 106 network hospitals

Trauma

Unlimited cover for trauma that necessitates hospitalisation

Emergency cover
(Netcare 911)

Unlimited - road & air transport

In beneficiary’s country of residence (RSA, Lesotho, Swaziland, Mozambique, Namibia and Botswana)

Subject to pre-authorisation and protocols

Essential cover

100% cover for 270 PMB conditions and 26 chronic conditions (CDL). DSPs & specialist network apply

Insured day-to-day benefits

Consultations

R1 050 = member per year

R2 100 = family per year

GP and specialist visits, physiotherapy, acute and self-medication

Medicine

Acute – see consultations benefit

PMB chronic – 100% of the Medihelp Reference Price (formulary & DSP applies)

Radiology & Pathology

This option is a hospital plan and does not cover these benefits

Dentistry

This option is a hospital plan and does not cover these benefits

Eye care

This option is a hospital plan and does not cover these benefits

Additional insured benefits

Protocols, item codes and DSPs apply

  • Pregnancy & baby benefits
  • Health tests
  • Immunisation
  • Back treatment programme

Dimension Prime 2 - 2017

(Non-network and network at 22% less)

A savings solution with added day-to-day healthcare

Hospitalisation

100% of the Medihelp tariff

Non-network – any private hospital

Network – 106 network hospitals

Trauma

Unlimited cover for trauma that necessitates hospitalisation

Emergency cover
(Netcare 911)

Unlimited - road & air transport

In beneficiary’s country of residence (RSA, Lesotho, Swaziland, Mozambique, Namibia and Botswana)

Subject to pre-authorisation and protocols

Essential cover

100% cover for 270 PMB conditions and 26 chronic conditions (CDL). DSPs & specialist network apply

Insured day-to-day benefits

Consultations

2 GP visits per member per year

4 GP visits per family per year

Additional consultations and other services are paid from savings account

Medicine

Acute – savings account

PMB chronic – 100% of the Medihelp Reference Price (formulary & DSP applies)

Radiology & Pathology

Savings account

Dentistry

Savings account

Denis protocols apply

Eye care

Per beneficiary in a 24-month cycle and PPN network applies

1 examination

Spectacles or contact lenses

Additional insured benefits

Protocols, item codes and DSPs apply

  • Pregnancy & baby benefits
  • Health tests
  • Immunisation
  • Back treatment programme

 

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